Ray Tojino Bobila, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C176226 Issued in CA

Practice address

15237 Eleventh St Ste a
Victorville, CA 92395-3736

Phone

(760) 662-7420

Fax

(760) 513-9000

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Golden State Primary Care Inc

  • General Practice Physician
  • Fontana, CA
  • NPI 1124987201

  Pediatrics

  NPD (past)
• Victorville Pediatrics

  • Pediatrics Physician
  • Victorville, CA
  • NPI 1497249155
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1710977160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 TURQUOISE CIR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092139",
            "telephone_number": "609-851-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15237 ELEVENTH ST STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953736",
            "telephone_number": "760-662-7420",
            "fax_number": "760-513-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBILA",
        "first_name": "RAY",
        "middle_name": "TOJINO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C176226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018947700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neal S. Blank, D.O.
• Jessie Bliss, LMFT
• Adriana Jessica Blow
• Maria D Boardman
• Justin Bobila, PMHNP-BC
• Eileen Boche Martinez
• Boehmer & Korthuis Chiropractic Inc
• James Donald Boehmer, DC
• Nicole Lee Ann Boggini
• Dixie Bolan

• Pediatrics Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.